As the ability to computerize processes and tasks increase, the proliferation of complex systems in our society continues. How these systems are deployed in the organizations where they are meant to be utilized has been shown to have a large impact on how well they function.In January of 2011 the Enköping hospital initiated the deployment of an IT-support for drug management, a module in the general health care system Cambio COSMIC. Other health care providers in the county, and in the rest of Sweden, have had mixed feelings toward the module. Some have outright refused the module, claiming that it is detrimental to patient safety. One of the arguments for deploying the module in Enköping, however, was that it was needed to improve patient safety.The Enköping hospital is considered to be a well organized institution with good leadership and earlier good experiences regarding IT-systems.

Previous research and patient complaints to the Swedish Patient Support Committee shows that there is a lack of substance in the patient-nurse relationship. This may suggest that it can be difficult for health care to live up to health-care law which requires it to be of good quality, based on dignity and respect and designed so that the patient is an active participant and can make their own decisions when it comes to their health care. For a better understanding of what a dignified patient-nurse relationship is, this study aims to clarify what the patient values as good patient-nurse relationship and describe how they have experienced the patient-nurse relationship during their stay at an emergency care department. The study is a descriptive cross-sectional study with a quantitative approach, where the population consisted of patients who were cared for at an emergency care department in the County of Västmanland, Sweden during 2007. The sample consisted of 93 patients which were asked to answer a questionnaire.

A report on my thesis developing an algorithm to automatically classify a mammogram image as containing an implant or not and segmenting and masking any present breast implant in the image..

India is home to every sixth person in the world, some 30 million dogs and a quarter of the total world cattle population. A vast majority of Indians are Hindus, and even though the Hindu religion proclaims love, nurturing and worshipping of animals, sometimes the same religion constitutes an obstacle for animal welfare in practice. This paper investigates the significance of historic and religious symbols to the way animals are perceived in modern Indian society, as well as the different social factors which underlie attitudes to animals. The concept of karma, as well as that of good versus bad deaths, is probably the foundation of the general Hindu reluctance to euthanasia in any form. Although in theory all species are generally regarded as equal in Hinduism, in practice there seems to be a differentiation; for cultural, religious, medical and financial reasons.

ABSTRACTThe discussions about energy use have increased year by year everywhere in the society, and so also in the healthcare sector. But what is actually energy use in a hospital facility, and what affects it?The typical way today to express the energy use is in kWh/m2. The problem with a key performance indicator that is expressed as energy use in relation to a specific area is that it does not take into account the activity in the building. Even though the activity to a very high extent affects the energy use.

Syfte:. Uppsatsens syfte är att utreda vad som har gjort företaget Medscand Medical framgångsrikt och med denna kunskap som grund utveckla lämplig framtida strategi för företaget. Fokus i strategiformuleringen rör hur företaget skall attrahera, stimulera och utveckla innovationer. Metod: En kvalitativ metod har använts där primärdata i from av intervjuer är den mest betydande informationskällan. Slutsatser: Denna uppsats har med vald teori och empiri analyserat Medscand Medicals framgångsfaktorer och utifrån dessa utvecklat lämplig framtida strategi för företaget.

Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

Background: Patients with cervical spinal cord injuries are often dependent on a mechanical ventilator due to the damage on the innervation to breathing musculature. During rehabilitation they have to be trained to regain own breathing. This unweaning process may give respiratory complications, which are main causes to morbidity and death. These respiratory complications are traditionally treated in an intensive care unit (ICU), which means that the patients have to return back to these emergency units.Aim: To investigate number, length and causes of returns to intensive care units and the length of the weaning process. Further, to compare if a multidisciplinary approach to the weaning process may reduce ICU returns and to shorten the weaning process.

Patients in intensive care are often intubated, and therefore unable to speak, which leads to difficulties in communication. The ICU is a very stressful environment and can be experienced as foreign and frightening by both patients and their close ones. The ICU nurse?s caring responsibilities includes both the care of the critically ill patient and the support of relatives who are often in shock. This balance is not always straightforward, and acting professionally in both instances can lead to problems.

Background: To be a parent to a child dying of cancer affect not just the parents themselves, but the whole family. Experiences of fear, powerlessness and anxiety surrounds them. Nurses need knowledge about parents? experiences to help and support these parents adequately. Aim: The aim of the study was to describe parents? experiences of losing a child to cancer, from diagnosis to the child?s death.

Previous research and patient complaints to the Swedish Patient Support Committee shows that there is a lack of substance in the patient-nurse relationship. This may suggest that it can be difficult for health care to live up to health-care law which requires it to be of good quality, based on dignity and respect and designed so that the patient is an active participant and can make their own decisions when it comes to their health care. For a better understanding of what a dignified patient-nurse relationship is, this study aims to clarify what the patient values as good patient-nurse relationship and describe how they have experienced the patient-nurse relationship during their stay at an emergency care department. The study is a descriptive cross-sectional study with a quantitative approach, where the population consisted of patients who were cared for at an emergency care department in the County of Västmanland, Sweden during 2007. The sample consisted of 93 patients which were asked to answer a questionnaire.

The present work has been implemented as a literature study aimed to investigate the prevalence, possibly causes and consequences of an eating disorder. In today's modern society individuals are living with a constant reminder from the media about how a person should look and act to blend into the social norms and expectations of the modern society. This literature review has been analysed on the basis of concepts such as identity, gender identity and gender. In addition previous research has been analysed in terms of themes, history, possible causes/risk factors, media, body image and control, depression, shame and guilt as well as culture. The above themes were analysed on the basis of behaviouristic theory and role theory.

Bakgrund: Inom ambulansorganisationen ordineras läkemedel via telefonordinationer eller genom generella direktiv som erhålles från ambulansöverläkaren. Ordinationer enligt generella direktiv ska utfärdas restriktivt och omprövas regelbundet. För att patienterna ska bedömas på samma sätt så behövs utarbetade bedömningsmallar och riktlinjer som sjuksköterskorna som arbetar i ambulanssjukvård kan arbeta utefter.Syfte: Att studera hur sjuksköterskor upplever läkemedelshantering inom ambulansorganisationen Västernorrland.Metod: Samtliga sjuksköterskor inom ambulanssjukvården i Västernorrlands län tillfrågades om deltagande. Totalt kom 74 individer (54%) att delta. Datainsamlingen genomfördes med enkät bestående av slutna frågor och möjlighet att skriva kommentarer till varje fråga.Resultat: Det framkom att personalen aldrig överskred maxdosen, men gav på eget initiativ läkemedel som de saknade generell ordination på utan att först kontakta läkare.

Bakgrund. På akutmottagningen är flödet av patienter stort och möten mellan sjuksköterskor och patienter är korta och tidspressade. Det primära för patienter på en akutmottagning är att sjuksköterskan vet vad som ska göras. Omvårdnad kan delas upp i två kategorier: instrumentell omvårdnad och emotionell omvårdnad. För att agera med omvårdnad, måste sjuksköterskan dels ha ett omhändertagande med teknisk kompetens och samtidigt stödja patientens emotionella behov.